CMS Price Transparency Data

Hepatitis B immune globulin

Facility: Grant Regional Health Center

Billing Code: 90371 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$406
about 2.9× the $140 Medicare rate · typically $144–$1,053
modeled estimate · not a bill or quote
Medicare pays $140 Fair price $406 Cash price $172 Hospital's list price $265

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $116 - $235 83%
Blue Cross Blue Shieldmajor $225 160%
Quartz $116 - $196 83%
+ 4 smaller / regional plans $193 - $1,542

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 507 S Monroe St, Lancaster, WI 53813
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals